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U.S. Department of Health and Human Services

MAUDE Adverse Event Report: PERMOBIL, INC. M5 CORPUS; WHELLCHAIR, POWERED
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PERMOBIL, INC. M5 CORPUS; WHELLCHAIR, POWERED Back to Search Results
Model Number M5 MID WHEEL DRIVE
Device Problems Display or Visual Feedback Problem (1184); Device Displays Incorrect Message (2591); Naturally Worn (2988); Noise, Audible (3273)
Patient Problem No Known Impact Or Consequence To Patient (2692)
Event Date 03/01/2019
Event Type  malfunction  
Event Description
So i got my permobil m5 wheelchair serial number (b)(4), (b)(6) 2018.And it¿s been defective pretty much ever since i got it.There¿s been a clicking/ grinding noise coming from the right and left side.There¿s been uneven tire wear on all the tires including the drive tires.There¿s been a lot of errors i've gotten, the chair will display a speed even though i'm at a dead stop, there¿s been abnormal noises coming from the tilt/ seat lift actuator motor.I've been to airway oxygen several times they're getting sick of it, permobil just keeps throwing parts at this chair with no resolution to it.For a (b)(6) chair retail this chair shouldn't be having this many problems.I can explain more on a phone call.I also have way more pictures but can only upload 8 mb.Fda safety report id # (b)(4).
 
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Brand Name
M5 CORPUS
Type of Device
WHELLCHAIR, POWERED
Manufacturer (Section D)
PERMOBIL, INC.
MDR Report Key9417638
MDR Text Key169816324
Report NumberMW5091453
Device Sequence Number1
Product Code ITI
Combination Product (y/n)N
Reporter Country CodeUS
Number of Events Reported1
Summary Report (Y/N)N
Report Source Voluntary
Reporter Occupation Patient
Type of Report Initial
Report Date 12/02/2019
1 Device was Involved in the Event
1 Patient was Involved in the Event
Date FDA Received12/04/2019
Is this an Adverse Event Report? No
Is this a Product Problem Report? Yes
Device Operator Lay User/Patient
Device Model NumberM5 MID WHEEL DRIVE
Was Device Available for Evaluation? Yes
Was Device Evaluated by Manufacturer? No Information
Type of Device Usage N
Patient Sequence Number1
Patient Outcome(s) Other;
Patient Age26 YR
Patient Weight39
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